HESI- Peds QUIZ Questions And Correct Detailed Answers (Verified Answers) Already Graded A+.

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HESI- Peds QUIZ Questions And Correct Detailed Answers (Verified Answers) Already Graded A+.

• A 6-year-old is admitted to the pediatric unit after falling off a bicycle. Which

intervention should the nurse implement to assist the child's adjustment to hospitalization?

• Explain hospital schedules to the child, such as mealtimes.
• Use terms, such as "honey" and "dear," to show a caring attitude.
• Provide a list of rules that limits visitation of siblings in the hospital.
• Orient the parents to the hospital unit and refreshment areas.

Correct Answer: A

• The registered nurse (RN) is preparing a nursing care plan for a child who is

hospitalized with severe eczema on the face, neck, and scalp. Which nursing intervention is best to implement to prevent the child from scratching the affected areas?

• Put wool gloves on the child's hands.
• Place vinyl finger cots on the child's fingers.
• Place elbow restraints on the child's arms.
• Apply clove-hitch restraints to the child's wrists.

Correct Answer: C

• A premature newborn, born 24 hours ago, is diagnosed with a patent ductus

arteriosus (PDA) and placed on high flow nasal cannula for oxygenation. The parents visit the nursery and ask to hold her. Which response should the nurse provide to the parents?

• "Studies have shown that handling a sick newborn is not good for the baby and upsets

the parents."

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• "We will begin "kangaroo care", which is skin to skin contact."
• "Since your baby has been doing well under oxygen for 24 hours, I can let you hold the

baby without oxygen."

• "You can hold the baby with the oxygen blowing in the baby's face since the level is very

close to room air."

Correct Answer: B

• As part of the physical assessment of children, the nurse observes and palpates the

fontanels. Which child's fontanel finding should be reported to the healthcare provider?

• A 6-month-old with failure to thrive who has a closed anterior fontanel.
• A 24-month-old with gastroenteritis who has a closed posterior fontanel.
• A 2-month-old with chickenpox who has an open posterior fontanel.
• A 28-month-old with hydrocephalus who has an open anterior fontanel.

Correct Answer: A

• An infant is born with a ventricular septal defect (VSD) and surgery is planned to

correct the defect. The nurse recognizes that surgical correction is designed to achieve which outcome?

• Stop the flow of unoxygenated blood into systemic circulation.
• Increase the flow of unoxygenated blood to the lungs.
• Prevent the return of oxygenated blood to the lungs.
• Reduce peripheral tissue hypoxia and nail bed clubbing.

Correct Answer: C

• The mother of a preschool-aged child asks the nurse if it is all right to administer

bismuth subsalicylate to her son when he has a "tummy ache." After reminding the mother to check the label of all over-the-counter drugs for the presence of aspirin, which instruction should the nurse include when replying to this mother's question?

• If the child's tongue darkens, discontinue the bismuth subsalicylate immediately.
• Do not give if the child has chickenpox, the flu, or any other viral illness.
• Avoid the use of bismuth subsalicylate until the child is at least 16 years of age.

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• Bismuth subsalicylate may cause a rebound hyperacidity, worsening the "tummy ache."

Correct Answer: B

• The nurse is teaching a 12-year-old adolescent and family about taking injections of

growth hormone for idiopathic hypopituitarism. Which adverse symptoms, commonly associated with growth hormone therapy, should the nurse plan to describe to the adolescent and family?

• Polyuria and polydipsia.
• Lethargy and fatigue.
• Increased facial hair.
• Facial bone structure changes.

Correct Answer: A

• The nurse receives a lab report stating a child with asthma has a theophylline level

of 15 mcg/dL. Which action will the nurse take?

• Pass the information on in the report.
• Notify the healthcare provider because the value is high.
• Repeat the lab study because the value is too high.
• Hold the next dose of theophylline.

Correct Answer: A

• The nurse is having difficulty communicating with a hospitalized 6-year-old child

that has been assessed to be on track with appropriate developmental speech and language milestones. The nurse suspects that the child is fearful. Which approach by the nurse is most helpful in establishing communication?

• Engage the child through drawing pictures.
• Suggest that the parent read a book to the child.
• Provide paper and pencil for the child to keep a diary.
• Ask the parent if the child is always uncommunicative.

Correct Answer: A

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• An 18-month-old is admitted to the hospital with possible Hirschsprung disease.

When obtaining a nursing history, the nurse asks about bowel habits. What stool description is indicative of the disease?

• Foul-smelling and fatty.
• Bile-colored and watery.
• Semi-solid and yellow.
• Ribbon-like, foul-smelling stool.

Correct Answer: D

• The mother of a 6-month-old asks the nurse when her baby will get the first

measles, mumps, and rubella (MMR) vaccine. Based on the recommended childhood immunization schedule published by the Centers for Disease Control, which response is accurate?

• 3 to 6 months.
• 12 to 15 months.
• 18 to 24 months.
• 4 to 6 years.

Correct Answer: B

• A 2-year-old child with Down syndrome is brought to the clinic for a regular

physical examination. The nurse knows which problem is frequently associated with Down syndrome?

• Congenital heart disease.
• Fragile X chromosome.
• Trisomy 13.
• Pyloric stenosis.

Correct Answer: A

• The nurse is assigning care for a 4-year-old child with otitis media and is concerned

about the child's increasing temperature over the past 24 hours. When planning care for this child, what should the nurse consider?

• Only an RN should be assigned to monitor this child's temperature.